Louisa Roberts Bennitt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011810 Issued in VA

Practice address

625 Robin St
Bluefield, VA 24605-9416

Phone

(434) 987-1863

NPI assigned

Jun 6, 2020

Last updated

Jun 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591401600000",
    "number": "1083238919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ROBIN ST",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246059416",
            "telephone_number": "434-987-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ROBIN ST",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246059416",
            "telephone_number": "434-987-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNITT",
        "first_name": "LOUISA",
        "middle_name": "ROBERTS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-06",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Louisa.bennitt@icloud.com",
            "affiliation": "N",
            "endpointDescription": "Emsil",
            "address_1": "625 Robin St",
            "city": "Bluefield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "246059416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.